Federal Reports

Although the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), has made significant progress in the timely resolution of audit recommendations since our previous review (of Federal fiscal years (FYs) 2006 and 2007), CMS did not always resolve audit recommendations in a timely manner during FYs 2015 and 2016. Specifically, CMS resolved 1,231 of the 1,371 recommendations that were outstanding during FYs 2015 and 2016. However, it did not resolve 405 of the 1,231 recommendations (32.9 percent) within the required 6-month resolution period. In addition, as of September 30, 2016, CMS had not resolved 140 audit recommendations that were past due for resolution. Some of the past-due recommendations had associated dollar amounts that totaled $138.6 million; others were procedural in nature.

The unclassified version of the SAR covers the period from April 1, 2018, through September 30, 2018, and reflects what NSA OIG could release publicly about its work for that reporting period. The OIG issued 21 reports and oversight memoranda during that period, making 620 recommendations to assist the Agency in addressing the findings and deficiencies identified. NSA’s management agreed with all OIG recommendations made during this period. The Director of the NSA and Congress previously received the classified version of the SAR in accordance with the IG Act.

Some of the bonus payments that Virginia received for the audit period were not allowable in accordance with Federal requirements. Most of the data used in Virginia's bonus payment calculations were in accordance with Federal requirements. However, Virginia overstated its current enrollments in its bonus requests to the Centers for Medicare & Medicaid Services (CMS) for fiscal years (FYs) 2011 through 2013 because it improperly inflated its current enrollment by a fixed percentage estimate, to account for potential retroactive enrollment, instead of using actual enrollment and the adjustment process to account for actual retroactive enrollment. CMS guidance instructed Virginia to calculate current enrollment based on actual enrollment.

U.S. Department of Labor Office of Inspector General's investigations newsletter for the period of October 1 – November 30, 2018.